Knee arthroscopy with partial meniscectomy
4,625
Reconstruction of Ischio of the LCA
14,500
Quad reconstruction of the LCA
14,000
Reconstruction of the LCP
LFPM reconstruction with allograft
19,000
LFPM reconstruction, OTTA premium
1,000
Ligament reconstructions, allograft bonus
2,000
Ligament reconstruction, Prime Biobrace
2,500
Moderate meniscus repair premium
3,000
Complex meniscus repair bonus (root, internal meniscus, meniscus horn)
5,500
Total knee prosthesis (Zimmer)
20,500
Unicompartmental knee prosthesis (Zimmer)
22,000
Bilateral total knee prosthesis (Zimmer)
31,000
Unicompartmental bilateral knee prosthesis (Zimmer)
34,000